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Individual

DANIEL L SCHWARTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
694 RIVERSIDE DR, MOUNT AIRY, NC 27030-3117
(336) 719-7892
(336) 719-6870
Mailing address
PO BOX 602362, CHARLOTTE, NC 28260-2362
(336) 765-2500
(336) 765-2555

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101918
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101918
LICENSE NUMBER
NC
Enumeration date
08/03/2005
Last updated
03/31/2011
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